Shield your providers from lost revenue and noncompliance through internal auditing. If you treat billing, coding, and compliance audits like routine annual physicals or yearly flu shots, you’re shortchanging your practice or facility. While regular checkups are important to your health and that of your business, audits go beyond general maintenance. They could uncover coding ...
The Department of Justice (DOJ) Criminal Division issued, April 30, a 19-page document entitled Evaluation of Corporate Compliance Programs. This document applies broadly to all industries where compliance is integral to operations and is not targeted specifically to healthcare. Know what prosecutors are measuring should your organization be charged with noncompliance. Three Overarching Questions ...
May 13th, 2019
Don’t look any farther than clinic’s walls to find most of the sources of data breaches, says Verizon, which recently released their 2019 Data Breach Investigations Report.  What they found adds to Compliance Officers‘ headaches. Not in Our Stars But in Ourselves The report, which reflects research results of 41,686 security incidents and 2,013 data ...
Apr 23rd, 2019
I was recently asked what the value of local chapter meetings was by a newly certified member. I was a little taken back that she did not know the core value on which AAPC was founded, which is networking. Local chapters were key to AAPC  in the beginning, and they continue to be today. That is ...
In Audit
Mar 6th, 2019
If  you receive Additional Documentation Requests (ADR) from a Medicare Administrative Contractors (MAC) and others, here are some tips  to respond most effectively. Additional Documentation Request Success Isn’t that Hard CGS  Administrators, a MAC and Durable Medicare Administrative Contractor (DMAC) with a presence in 38 states, offers helpful tips in their ADR process.  ADRs may ...